Glycopyrrolate - ANS - Induction and intubation medication
- causes photosensitivity
Craniotomy Treatment (triple H's) - ANS - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - ANS soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
sigmoid colostomy - ANS - formed stool
ileosotomy - ANSWER - high up
- liquid pasty stool
Roux-en-Y gastric bypass - ANSWER Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
,Restriction and malabsorption
Post-op Stroke symptoms - ANSWER - double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) - ANSWER - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions - ANSWER - encourage deep breaths
- and position shifts
clonic seizure - ANSWER repetitive jerking movements
petit mal seizure - ANSWER Also called absence attack. A seizure that is
characterized by a spike-and-wave EEG and often involves a loss of awareness
and inability to recall events surrounding the seizure.
Tonic seizure - ANSWER sustained muscle contraction
Emergence excitement safety interventions - ANSWER ok to use wrist
restraints
Shivering first interventions♀️ - ANSWER - expect order for demerol
(over warm blankets)
, Septic Shock/ Early Respiratory Distress - ANSWER - Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block - ANSWER anesthetizes the brachial plexus as it
passes through the scalene triangle. It is used to provide anethesia for the
shoulder and upper arm. Nearly all patients will devleop transeint ipsilateral
diaphragmatic parylasis due to involvment of the phrenic nerve roots as tehy
pass through the interscalene sheath.
Complication of rapid warming - ANSWER Hypotension (rapid vasodilation
can cause a drop in blood pressure)
Hetastarch (Hespan) - ANSWER - Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
Why are neonates not tolerant of fluid overload? - ANSWER - obligate sodium
loss
- slow clearance of fluid
- inability to conserve fluid
Drug of choice for fluid overload/ ascites in patient with Cirrhosis - ANSWER
Spironolactone
- causes photosensitivity
Craniotomy Treatment (triple H's) - ANS - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - ANS soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
sigmoid colostomy - ANS - formed stool
ileosotomy - ANSWER - high up
- liquid pasty stool
Roux-en-Y gastric bypass - ANSWER Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
,Restriction and malabsorption
Post-op Stroke symptoms - ANSWER - double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) - ANSWER - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions - ANSWER - encourage deep breaths
- and position shifts
clonic seizure - ANSWER repetitive jerking movements
petit mal seizure - ANSWER Also called absence attack. A seizure that is
characterized by a spike-and-wave EEG and often involves a loss of awareness
and inability to recall events surrounding the seizure.
Tonic seizure - ANSWER sustained muscle contraction
Emergence excitement safety interventions - ANSWER ok to use wrist
restraints
Shivering first interventions♀️ - ANSWER - expect order for demerol
(over warm blankets)
, Septic Shock/ Early Respiratory Distress - ANSWER - Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block - ANSWER anesthetizes the brachial plexus as it
passes through the scalene triangle. It is used to provide anethesia for the
shoulder and upper arm. Nearly all patients will devleop transeint ipsilateral
diaphragmatic parylasis due to involvment of the phrenic nerve roots as tehy
pass through the interscalene sheath.
Complication of rapid warming - ANSWER Hypotension (rapid vasodilation
can cause a drop in blood pressure)
Hetastarch (Hespan) - ANSWER - Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
Why are neonates not tolerant of fluid overload? - ANSWER - obligate sodium
loss
- slow clearance of fluid
- inability to conserve fluid
Drug of choice for fluid overload/ ascites in patient with Cirrhosis - ANSWER
Spironolactone
